A 72-year-old morbidly obese male patient with uncontrolled diabetes is examined by the anesthesia nurse practitioner in the preoperative holding area for physical status and airway assessment prior to surgery.His most likely American Society of Anesthesiology (ASA)physical status is:

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The ASA defines a P3 status as a patient with a severe systemic disease that limits activity but is not incapacitating.Examples include cardiovascular or pulmonary disease that limits activity; severe diabetes with systemic complications; history of myocardial infarction,angina pectoris,poorly controlled hypertension,or morbid obesity renal failure on dialysis or class 2 congestive heart failure.There is a significant impact on daily activity.These conditions likely have an impact on anesthesia and surgery.

A 72-Year-Old Morbidly Obese Male Patient with Uncontrolled Diabetes Is